• Catheter Cardiovasc Interv · Sep 2013

    Case Reports

    Stent exteriorization facilitates surgical repair for large-bore sheath complications.

    • Isaac George, Gautam Shrikhande, and Mathew R Williams.
    • Divisions of Cardiothoracic Surgery and Cardiology, College of Physicians and Surgeons of Columbia University, New York, New York; Center for Interventional Vascular Therapeutics, College of Physicians and Surgeons of Columbia University, New York, New York.
    • Catheter Cardiovasc Interv. 2013 Sep 1;82(3):E257-61.

    AbstractEndovascular therapy for peripheral vascular and valvular disease has rapidly expanded and yet also produced new challenges for vascular access and closure. Current generation thoracic endograft (TEVAR) outer diameter sheath sizes range from 18 to 25 French, and the options for vascular access closure include off-label use of a closure device versus surgical cutdown. We describe a patient with a complex, post-dissection, descending aortic aneurysm who required TEVAR and had a vascular access complication repaired with stent exteriorization with open repair.Copyright © 2013 Wiley Periodicals, Inc.

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